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FORi~A OR-302
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~ STATE OF FLORIDA ?
DEPARTMENT OF REVENUE j
ESTATE TAX BUREAU ~
TALLAHASSEE. FLORIDA 32304 25459s ;
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EoS~~~NN NON-TAXABLE CERTIFICATE AND RECEIPT ~
E7lECUT1VE DIRECTOR ~QR ESTATE TAX~ '
TO:Gussie L. Shafer, Admin.
c/o Nicholas P. Kalenak, Atty. C 9 4~ 01
20 Holmes Street
Mystic, Connecticut 06355
Re : The Estate of Earl C ~ Shafer
f~~EO PECOft~eo ~ Deceased. Fla. Prop. in St. Lucie
ST. LUC?E COUNTY
IIOGER P~~~~`~s Resident of N_w Londen
CIERK C~~~WY COURT
Rf ~~R~ YEF.1ft~0 _ ~pUnty ~
~T 9 0o AH Connecticut
~ DBte • An
i~' 1, 27 ~ 1973
254596 $5.00 Fee Received : s mp
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~ THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a aworn report or return for Estate
Taxes as required by law and on the -basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax . The iasuance of this certificate, however, shall '
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida. ~ ~
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If proof of non liability by the above estate for the Florida Eatate Tax is required ~
s~y person thia Certificate may be exhibited as evidence of such non liability. ~
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Given in quadruplicate under my hand and the seal of the State of Florida the +
date first above written.
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- . . ~ ~ Executive Director ;
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. . Department of R.evenue ~
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Not valid without seal affixed . ~
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